| NPI | 1730905373 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP2201X Registered Nurse, Ambulatory Care (Licence: CA 95045102) |
| Additional Taxonomies | 163WR0400X Registered Nurse, Rehabilitation (Licence: CA 95045102) |
| Enumeration Date | 2024-11-27 |
| Last Update Date | 2024-11-27 |